BASIL A ALI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

BASIL

Middle

Last Name

ALI

Business Name

BASIL A ALI MD

Original Issue Date

11/01/2017

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

WESTERN SPRGS

State

Zip

60558

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023